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Pill 'caused long-term damage'

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" Ken " <shining

Friday, March 08, 2002 11:19 PM

Pill 'caused long-term damage'

 

 

> Monday, 4 March, 2002, 15:30 GMT

> Pill 'caused long-term damage'

> http://news.bbc.co.uk/hi/english/health/newsid_1848000/1848697.stm

>

> The women say they were not warned of the risks

>

> A test case involving more than 100 women who say they were exposed to

> potentially lethal side effects of the third generation contraceptive pill

> has started at the High Court.

> Lawyers representing the families are taking action against three

> pharmaceutical companies, saying the women were not warned of the possible

> dangers of the Pill.

>

> They claim the third generation Pill caused the women to develop blood

clots

> which led to long-term damage to their health, and in around 10% of cases

> proved fatal.

>

> We can say our Pills are not associated with any greater risk than any

other

> Pill available today or before today

>

>

> Dr Rob Kaper, Organon

>

> The companies say they will vigorously defend the claims and reject

> suggestions that the third generation Pill, introduced in the 80s, is

> slightly riskier than its predecessors.

>

> They say there is no link between the women's problems and their products.

>

> The case is the first of its type and, if successful, could lead to

massive

> compensation payouts, expected to total about £10m.

>

> The legal challenge, being brought under the Consumer Protection Act, is

> expected to last many months.

>

> The companies being sued are Schering Healthcare, Organon Laboratories and

> Wyeth.

>

> Third generation Pills include Femodene, Femodette, Marvelon, Mercilon,

> Minulet, Triadene and Tri-Minulet.

>

> 'Disastrous injury'

>

> Pill history

> First generation: high dose of oestrogen and one of two progesterones

> Second generation: lower dose of oestrogen, same progesterones

> Third generation: same lower dose of oestrogen, different progesterones

> Lord Brennan QC told Mr Justice Mackay the group included those who had

> conditions including deep vein thrombosis, pulmonary embolism, strokes and

> cerebral vein thrombosis.

>

> He said: " Some are moderately injured. Several of them are the victims of

> disastrous injury which will incapacitate them throughout their lives. "

>

> The litigation, involving some claims brought on behalf of women who have

> died, will focus on seven individual cases.

>

> Lord Brennan said the Consumer Protection Act provided for all consumers,

> such as the women in the case, to have a legitimate expectation that they

> would be warned of the kind of risk he had described.

>

> " A product that carries such a risk, but doesn't carry a warning about it

> is, we submit, a defective product under that statute. "

>

> Thromboembolism risk

> In women not taking the Pill or who are not pregnant - five per 100,000

> In women using 'second generation' Pills - 15 per 100,000

> In women using 'third generation' Pills - 25 per 100,000

> In women who are pregnant - 60 per 100,000

> Source: Department of Health

> Organon insists there is no difference in risk of thrombosis between

second

> and third generation Pills, and this will form the backbone of its case.

>

> Organon's medical director in the UK, Dr Rob Kaper, said: " The Pills are

> safe.

>

> " Based on the latest studies, we can say our Pills are not associated with

> any greater risk than any other Pill available today or before today.

>

> " The association between Pills and thrombosis has been known since the

late

> 60s and all Pill packets have contained the warning and that's for any

type

> of Pill. "

>

> The Department of Health has issued guidelines on the risks associated

with

> venous thromboembolism (VTE) - blood clots in the veins - and third

> generation oral contraceptives.

>

> 'Unfounded' claims

>

> It says VTE is " very rare and may occur in any woman whether she is taking

> the Pill or not " .

>

> However, it suggests the risk of VTE is slightly higher in women taking

any

> combined oral contraceptive Pill, compared with those not on the Pill.

>

> But this risk is " very small and far lower than the risk in pregnancy " .

>

> It says there is no reason for women to stop taking the pill.

>

> Schering, which makes Femodene, has issued a statement saying the women's

> claims are " unfounded " .

>

> It said their product was effective, and posed only a tiny risk. In

> addition, it protected women from endometrial and ovarian cancer.

>

> Dr Peter Longthorne, medical director of Schering Health Care Ltd, said:

" In

> some cases, the claimants have had tragic experiences, and we have a great

> deal of sympathy for them.

>

> " This is why we feel it particularly important that a conclusion be drawn

> for the benefit of everybody involved.

>

> " However, the claimants have not established that there is a link between

> their problems and our products or put forward a good case that Schering

are

> legally responsible to compensate them. "

>

> Lord Brennan told the court the increased risk of third generation

products

> had featured in a major debate among epidemiology experts as well as among

> regulatory authorities such as the World Health Organisation.

>

> The seven claimants' details were outlined in court:

>

> Carol Ann Townsend, 31, of Oxford, who was taking Femodene suffered a deep

> vein thrombosis in August 1993

> Debra Jones, 31, of Aberdare, south Wales, who was taking Femodene,

suffered

> a cerebral venous thrombosis in December 1994

> Andrea Massey, 25, of Wrexham, north Wales, who was taking Femodene,

> suffered a stroke in July 1995

> Karen Roberts, 39, of Denbigh, north Wales, whowas taking Femodene,

suffered

> a deep vein thrombosis in August 1995

> Jacqueline Diplock-Webb, 43, of Ferndown, Poole, Dorset, who was taking

> Marvelon, suffered a deep vein thrombosis in August 1993

> Nicola Moores, 35, of Fulham, south-west London, who was taking Mercilon,

> suffered a pulmonary embolism in November 1993 and August 1995

> Ellen Silcock, 24, of Corby, Northamptonshire, who was taking Minulet,

> suffered a pulmonary embolism in October 1995.

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